Dean Klug, MD
Otolaryngology · Germantown, TNNPI 1265548713
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $26,274 of the $37,398 with a category attached, or 70.3%. Regeneron Healthcare Solutions, Inc. accounts for 75.3% of it on its own, with 21 other manufacturers making up the rest. 2025 is the largest year on record at $21,502, more than ten times the $948 reported in 2019. Among otolaryngology clinicians in TN with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 203 payments — averaging $184.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron Healthcare Solutions, Inc.$28K
- Aerin Medical Inc.$2K
- Sanofi$2K
- Acclarent, Inc$2K
- Medical Device Business Services, Inc.$946
- Integra Lifesciences Corporation$722
- plus $2K from 16 others
What the payments were for
- Speaking & faculty fees$26,27470%
- Travel & lodging$3,4889%
- Food & beverage$7,58120%
- Education$550%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Regeneron Healthcare Solutions, Inc. | 17 | $28,154 |
| Aerin Medical Inc. | 16 | $2,337 |
| Sanofi | 66 | $1,757 |
| Acclarent, Inc | 32 | $1,664 |
| Medical Device Business Services, Inc. | 7 | $946 |
| Integra Lifesciences Corporation | 12 | $722 |
| Intersect ENT, Inc. | 6 | $455 |
| GSK | 19 | $366 |
| Medtronic(2 entities) | 6 | $250 |
| AbbVie(2 entities) | 5 | $194 |
| Neurent Medical Limited | 2 | $174 |
| Optinose US, Inc. | 3 | $75 |
| Stryker | 1 | $58 |
| Sanofi-aventis U.S. LLC | 1 | $55 |
| Kowa Pharmaceuticals America, Inc. | 2 | $43 |
| AstraZeneca | 2 | $35 |
| Smith+Nephew | 1 | $29 |
| Hologic Sales And Service, LLC | 1 | $25 |
| Baxter Healthcare | 1 | $23 |
| Hikma Pharmaceuticals USA | 1 | $15 |
| Merck | 1 | $13 |
| Genentech USA, Inc. | 1 | $11 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- DUPIXENT$28,023
- VIVAER STYLUS$2,020
- RHINAER STYLUS$691
- Acclarent Aera$379
- Inspira Air$379
- RELIEVA SPINPLUS NAV$379
- TruDi Probe$379
- PROPEL$256
- NEUROMARK Device$139
- NEUROMARK Radiofrequency Console$139
- SINUVA$136
- Relieva Ultirra$134
- Relieva Spinplus$114
- RELIEVA SPINPLUS Balloon Sinuplasty System$110
How this compares
$37,398 in reported general payments places this provider in the 95th percentile of 191 otolaryngology providers in Tennessee.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Azelastine Hcl | 152 | $3,992 |
| Cefdinir | 90 | $2,478 |
| Montelukast Sodium | 364 | $2,109 |
| Fluticasone Propionate | 81 | $1,077 |
| Ipratropium Bromide | 23 | $784 |
| Omeprazole | 48 | $462 |
| Mupirocin | 63 | $425 |
| Methylprednisolone | 40 | $280 |
| Ondansetron OdtOndansetron | 37 | $252 |
| Azithromycin | 44 | $237 |
| Clotrimazole | 11 | $233 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 31 | $169 |
| Prednisone | 49 | $152 |
| Famotidine | 16 | $74 |
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 16 | $52 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Germantown
- Brandon ShepherdGermantown$7K
- John TouliatosGermantown$5K
- Rakesh ChandraNashville$381K
- David FortuneHermitage$298K
- Grady BryantHermitage$74K
- Marion GillespieMemphis$67K
- Clyde MathisonFarragut$66K
- Michael TopfNashville$36K
- John GleysteenMemphis$25K
- Allan RosenbaumPowell$21K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.